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Permit No lL����/_ <br /> APPLICATION FOR SANITATION PER&�yT nn � / <br /> (C=mcJmfm in Duplicate) Date Issued -.,_���'�''/ ` <br /> �� the �` Joaquin Loc <br /> Health District � u permit to construct and�ninstallthe workherein described.Application � <br /> '" '='~~' ^~ - �i - ��k'�nun+y [>r�inonceNo. 54�. <br /> T�soppUcaHuw i, made incom. xmce <br /> JOB ADDRESS. AND LO ON <br /> Contractor's Nome------------- iler Court Mofel [] Other E] <br /> Installation will serve: Residence ',.Apartment House E] Commercial E] Tra x le <br /> Nurnber of living unifs:/O- Number of bedrooms -------- Number of baths -------- Lot size __1_0_0---- --------- <br />� dobe Hardpan __ <br /> Character of soil to a depth off e*f Sand E] Gravel 0 Sandy Loam [I Loam El -.~' E] <br /> F�A/VA Y �� N ` <br />! Prev Application Made: Yes F1 .,v New Construction Yes E] No <br /> | �/7 <br /> /rrE OF INSTALLATION '`'`- - -� �,6`� <br /> LNo septic � mm ����� pubkcsewer � mva\|ukJmw� t <br /> within' <br /> { Distance from nvu`"" ="ll"-----''-istance from--- <br /> No. ofcompartments--------------------------Size--------------------------------Liquid <br /> -_6e-p�-h-- _� --_— <br /> - ` �m <br /> Capacity----------------------- <br /> Distance <br /> pud+y <br /> _ <br /> __----.. <br /> Di�ance to naano,+ �t line <br /> i-�on;r from noon:� well- Distance from foundation <br /> Number oflines -'---'--`--'-Lenqtx ofuuch |ino------------------------------ V\6tk nffrench____________ <br /> Type of |+u, mafnho| _ Deuth of filter material --f.]o�| length <br /> Oi�anceto '--ra� ~ -' "'`',^ /O toneo�� �t | <br /> D � <br /> ------------- <br /> Number u ' mo+o_n i �o\ 'S�o: D6om�oc' ^~+- �'-''- <br /> e�� �e ' -.- �o foundation� �ningmoto�«(-------------------------------------- <br /> Cesspool: <br /> ''-'-------- <br /> Co` poo|� Distance from neara6i -'''----Uquid Capacity gn``' <br /> El S�e� D�mot c-----'—..�-_---Dep+. D�+onc� from nvprud6���ng _-'-''- <br /> ' Distance from nearest wu|L'—'''-_._------- <br /> Distance to re. 4t <br /> � . Kmn�� m�p � <br /> . . . <br /> _r---- <br /> --- - ----- ------ -- ------- -------------- <br /> / <br /> � —�-,«/` ' -------------------------------- --.-_.'''_-.-'-_.'-_-'~_--_''-'--'-- <br /> ' --- - 6 +h hwork will be done in accordance with San Joaquin County <br /> ,n s uin Local Health District. <br /> red P11 <br /> egu <br /> . <br /> (Signed) <br /> ------y--�---—� <br /> ' �m�� w�. <br /> �� �� can be �� on === side).��t �ashowing size *�m+ �� � �� a/�--.-, <br /> FOR DEPARTMENT USE ONLY <br /> ----------------- <br /> APPLICATION <br /> _---- <br /> �) .\—PP.L|CAT|DN ACCEPTED BY ~� ~ R .^- � . ��--.. u <br /> ordinances. State <br /> KEV|EVB} 8Y',- -�-''-'---'-'�---�-''-''--''-''------''--''''-�_' DATE__.____.____ _.__.___ <br /> D � ''-'--'-'y <br /> BUILDING PERMIT |SSUED-_'---''-----'--'''-'''--''__.-''''-_- — __------------------ <br /> Alterations <br /> ______ <br /> AK*,aHvnsamJ/o, noconnonuatmns;-_----_--------.--.----. __________.______________ <br /> _-----.__--__�---------._--._-_--_---________-_.__________.____________.__. <br /> -_-_---.__.-__.---_-._.__-_.- <br /> _ <br /> � -------- <br /> -1 <br /> / <br /> -'''''-''' -'/''-' <br /> --''_-'�'_--'''-'-'--' <br /> ---'----_--' <br /> ------v = ._----- -------- <br /> - ~ <br /> ----._ _ ~01- <br /> Date------ ''-''''_�'-''-'�---'_' <br /> --'_-__----------- <br /> FINAL INSPECTION DY�.—'c.�c��' SAN ' <br /> JO���U\N LOCAL HEALTH DISTRICT <br /> ' Street m* m"*h 'o^ s�=t <br /> 130 no,SouthAmerican Street mm »v°� Oak StreetStockton, California /s» SycamoreT�,v California <br /> California . <br /> Lodi, California ==' <br /> | es-9- 2w ' Revised 1 \ <br />